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November 1989

Free Scapular Osteocutaneous Flap for Mandibular Reconstruction

Author Affiliations

From the Department of Otolaryngology–Head and Neck Surgery, University of Michigan Medical Center, Ann Arbor.

Arch Otolaryngol Head Neck Surg. 1989;115(11):1334-1340. doi:10.1001/archotol.1989.01860350068017

• Seventeen patients, 4 of whom had osteoradionecrosis, underwent mandibular reconstruction with a revascularized scapular osteocutaneous flap. The mean length of revascularized scapular bone used was 10.4 cm. Nine of the 17 flaps healed uneventfully; however, previously irradiated patients had a higher incidence of postoperative complications. There was only 1 flap failure. We found the free revascularized scapular osteocutaneous flap to be reliable and ideal for the reconstruction of large composite defects of the oral cavity.

(Arch Otolaryngol Head Neck Surg. 1989;115:1334-1340)

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